Hospital discharge
Patients are discharged from hospitals quicker and sicker than they used to be, and not every hospital has a strong discharge planning process behind it. Medication changes at discharge are easy to get wrong. Firstat picks up where hospital discharge planning leaves off, with a nurse managing the transition home.
Why families choose Firstat for this.
A plan built for this patient
No fixed package. The plan of care follows the diagnosis, not the other way around.
Licensed clinical care
RN, LVN, and HHA staff performing real clinical work under a physician's plan of care.
Continuity whenever possible
We work to keep a consistent nurse on a case when scheduling allows, so care doesn't reset every visit.
Direct, private billing
Private pay, long-term care insurance, and workers' comp, billed directly.
Hospital discharge: what's included
What to expect
- Needs assessment with the patient and family, ideally before discharge
- Review of discharge paperwork to confirm medications are correct
- Determining the right level of care (HHA, LVN, or RN) for the patient's needs
- Home inspection to prepare for medical equipment and reduce fall hazards
- A training session with the patient, therapist, and assigned nurse before care begins, to keep transfers and exercises consistent
- Oversight from the Director of Patient Care Services, with a formal treatment plan and ongoing compliance visits
Getting started is simple.
Ideally, this starts before the patient even leaves the hospital.
Needs assessment
We meet with the patient and family, ideally arranged before discharge.
Discharge plan review
We review the discharge paperwork and confirm medications are correct.
Level of care determined
We match the case to the right staff (HHA, LVN, or RN).
Home inspection
We check the home for equipment needs and fall hazards before care starts.
Training session
The assigned nurse, patient, and therapist align on transfers and exercises before day one.
Ongoing oversight
The Director of Patient Care Services monitors the formal treatment plan and visits regularly.
What we work toward.
Problems caught early
Proactive monitoring at home helps catch warning signs before they turn into a trip back to the hospital.
Medications actually reconciled
A nurse reviewing the discharge paperwork with fresh eyes helps catch errors before they become a problem.
A safer home on day one
Equipment and fall hazards are addressed before the patient walks back through the door.
Less family guesswork
A formal plan of care means the family isn't left interpreting discharge instructions alone.
Other ways we help San Diego families.
Home health & skilled nursing
Wound care, injections, ventilator and tracheostomy support, and intermittent skilled nursing under physician orders.
Learn more about Home health & skilled nursingStroke & fall recovery
Support through the physical, communication, and behavioral changes recovery brings.
Learn more about Stroke & fall recoveryAlzheimer's & dementia
Specialized, patient-centered care from staff trained for the realities of memory-related decline.
Learn more about Alzheimer's & dementia